Attachment 9 - Draft Contract Data Requirements List.docx

United States Air Forces in Europe United States Air Forces Africa

(USAFE-AFAFRICA)

Air Base Air Defense (ABAD) Indefinite Delivery/Indefinite Quantity (ID/IQ)

Contract Data Requirements List (CDRL)

13 July 2020

FA5641-20-R-0007

Attachment 9

FA5641-20-R-0007

Attachment 9

EXPLANATION OF DD FORM 1423

Data items shall be prepared in accordance with the applicable Data Item Descriptions (DIDs) set forth in the DoD Index of Specifications and Standards (DoDISS). DIDs are available on the Acquisition Streamlining & Standardization Information System (ASSIST) CDRL search website: http://quicksearch.dla.mil.

DD Form 1423s provide instructions as to when and how (in what format, number of copies, address, etc.) data is to be delivered. The following are explanations of information required within DD Form 1423. Blocks not explained are self-explanatory.

Block 2: “Title of Data Item”. The title as it appears on the data acquisition document cited in Block 4 (i.e. Monthly Status Report).

Block 3: “Subtitle”. Amplification of DD Title, if it requires further, more descriptive identification.

Block 4: “Authority”. Reflects the exact DID identification number as it appears on the DID. The final alpha character indicates a revision. If a modification is required to either limit the scope or clarify the usage of the Data Item Description (DID), a “/T” will follow the number to indicated tailoring and details will be explained in Block 16.

Block 5: “Contract Reference”. Performance Work Statement (PWS) paragraph which generates the data item.

Block 6: “Requiring Office”. This is the office responsible for advising as to the adequacy of the data unless the responsibility is delegated elsewhere in the contract.

Block 7: “DD Form 250 Required”. The activity to perform the inspection and/or acceptance is the office identified in Block 6.

Block 7 codes are as follows:

Block 8: “Approval Codes”. Items requiring advance written approval are identified by a “A” placed in this block.

concurrence on the document to proceed to the next event. Most of these data require submission of a preliminary draft prior to publication of a final document.

Blank Approval is not required.

Block 9: “Distribution Statement Required”. This block indicates the specific distribution statement.

Block 10: “Frequency”. The following are the codes used in this block:

Block 11: “As of Date”. If the data will be submitted only once, the “ASOF” date (cutoff date) is entered as follows: Day/Month/Year. If the data are of a recurring type, the number of days prior to the end of the report is entered; for example, “15” places the “as of” date for this report at 15 days before the end of each month, quarter, or year depending upon the frequency established in Block 10, “0” places the “as of” date at the end of each month, quarter, etc. (Block 13 or 16 is used for further explanation).

Block 12: “Date of First Submission”. The date of submission is entered as follows: Day/month/year.

If data are constrained by a specific event or milestone, the constraint is entered. If contract start date is not known, the number of days after contract start is entered (example: “30 DAC”). If this date is not known or requires further clarification, Block 16 is used.

Block 14: “Distribution and Addresses”. Entered here or on the distribution matrix are the addresses and the number of copies (regular/reproducible) to be received by each). Office symbols and command initials are used. The distribution matrix may be used where there is insufficient space in Block 14, and when many data items require extra space.

Block 15: Enter total number of copies (regular/reproducible) for one delivery; this number should be the sum of all copies specified in Block 14. If distribution fluctuates, use a Not to Exceed (NTE) number.

Block 16: “Remarks”. Use this Block to explain:

a. Tailored features of DID

b. Items 1 through 15; and

c. Any resubmitted schedule or special conditions involved in updating data submittal for Government approval

CONTRACT DATA REQUIREMENTS LIST (CDRL)

ABAD ID/IQ

A001

DI-MGMT-80368A/T

Status Report

A002

DI-MGMT-81453A/T

Data Accession List

A003

DI-SESS-80643D/T

Contract Funds Status Report (CFSR)

A004

DI-ADMN-81505/T

Report, Record of Meeting/Minutes

A005

DI-MISC-80508B/T

Technical Report – Study/Services Project Report/Plans

A006

Frequency Clearance Memo/Request

A007

Obsolescence Management Plan

A008

Quality Control Plan (QCP)

A009

DI-MGMT-80269/T

Status of Government Furnished Equipment (GFE) Report

A010

DI-MISC-81943

Trip Report

A011

DI-ENVR-81375

Environmental Safety and Health Plan Voluntary Protection Plan (VPP)

A012

DI-MGMT-8161/T

Integrated Program Management Report (IPMR)

A013

Software Assurance Report

A014

Transition Plan

A015

DI-MGMT-80934C

Operations Security (OPSEC) Plan

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the tine for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

TBD

B. EXHIBIT

A

C. CATEGORY

TDP ____ TM _____ OTHER MGMT

D. SYSTEM/ITEM

Air Base Air Defense (ABAD)

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Status Report

3. SUBTITLE

Monthly Status Report

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80368A/T

5. CONTRACT REFERENCE

ID/IQ & TO 001 PWS Sections 2.2.2.1., 3.9.3.

6. REQUIRING OFFICE

USAFE-AFAFRICA

7. DD 250 REQ

N/A

9. DIST STATEMENT

REQUIRED

B

10. FREQUENCY

MTHLY

12. DATE OF FIRST SUBMISSION

BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A, BLK 16

11. AS OF DATE

BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

Draft Final

16. REMARKS

BLK 4 - DID provides guidance. Contractor format acceptable.

BLK 8 – Approval Code A: The Government shall have ten (10) business days to approve or reject CDRL submittal. Failure of the Government to reject a CDRL within ten (10) business days of submission constitutes Government approval.

BLK 9 – Distribution Statement B: Distribution authorized to U.S. Government Agencies only due to proprietary and performance information contained in the document. Other requests for this document shall be referred to the USAFE-AFAFRICA Contracting Officer.

BLK 11 & 13 – Reporting period shall be the first day through the last day of each month with the report to be received no later than fifteen (15) calendar days after the end of the preceding reporting period.

BLK 12 – Initial report shall provide status from start of Contract/Task Order performance to the end of the first month. Contractor format shall be acceptable upon initial approval by the Government Contracting Officer Representative.

BLK 14 – The Contractor shall electronically distribute to addressees.

Contracting Officer Representative

Contracting Officer

Program Manager

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

//Signed//

J. DATE

CONTRACT DATA REQUIREMENTS LIST17. PRICE GROUP

18. ESTIMATED TOTAL

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the tine for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

TBD

B. EXHIBIT

A

C. CATEGORY

TDP ____ TM _____ OTHER MGMT

D. SYSTEM/ITEM

ABAD ID/IQ

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

Data Accession List (DAL)

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

ID/IQ & TO 001 PWS Section 2.2.4.

6. REQUIRING OFFICE

USAFE-AFAFRICA

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

B

10. FREQUENCY

QRTLY

12. DATE OF FIRST SUBMISSION

BLK16

14. DISTRIBUTION

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

ASREQ

13. DATE OF SUBSEQUENT

ASREQ

Final

16. REMARKS

BLK 4 - DID provides guidance. Contractor format acceptable. The Contractor shall develop and maintain the DAL. CDRL deliverables shall not be included on the list.

BLK 9 – Distribution Statement B: Distribution authorized to U.S. Government Agencies only due to proprietary and performance information contained in the document. Other requests for this document shall be referred to the USAFE-AFAFRICA Contracting Officer.

BLK 12 - DAL shall be submitted Quarterly after Contract Award. Government Acceptance/rejection will occur no later than twenty (20) days after receipt.

BLK 14 – The Contractor shall electronically distribute to addressees.

Contracting Officer Representative

Contracting Officer

Program Manager

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

CONTRACT DATA REQUIREMENTS LIST

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the tine for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

TBD

B. EXHIBIT

A

C. CATEGORY

TDP ____ TM _____ OTHER MGMT

D. SYSTEM/ITEM

ABAD ID/IQ

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

Contract Funds Status Report (CFSR)

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81468/T

5. CONTRACT REFERENCE

ID/IQ & TO 001 PWS Section 2.2.5.

6. REQUIRING OFFICE

USAFE-AFAFRICA

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

B

10. FREQUENCY

MNTHLY

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

BLK 16

13. DATE OF SUBSEQUENT

Final

16. REMARKS

BLK 4 - DID provides guidance. Contractor format acceptable. Contractor formats should be substituted whenever they contain all the required data elements at the specified reporting levels in a form suitable for DoD management. Supplemental instructions for DD FORM 1586:

1. Item 11 column a: Reporting shall be by each CLIN.

2. Item 11, column b: Enter appropriations, subhead, and project unit for each line item as specified on the contract appropriation data sheet.

3. Item 12 rows a, b, and c columns 2 through 9 shall include monthly projected amounts through the remainder of the contract.

4. Final report will be submitted at the end of each month during which the contractor effort is completed.

5. In Item 15 “remarks,” enter separately, if applicable, the amount of profit/fee, overrun/under run, and the cost sharing ratio.

BLK 9 – Distribution Statement B: Distribution authorized to U.S. Government Agencies only due to proprietary and performance information contained in the document. Other requests for this document shall be referred to the USAFE-AFAFRICA Contracting Officer.

BLK 11 – As of date shall be the close of the associated accounting month.

BLK 12 – First submission is due fourteen (14) calendar days after the end of the first complete accounting period following contract award.

BLK 13 – Subsequent submittals due fourteen (14) calendar days after the end of the month. Final CPR is due within sixty (60) calendar days of the end of the Period of Performance, or 100% completion, whichever is sooner.

BLK 14 – The Contractor shall electronically distribute to addressees.

Contracting Officer Representative

Contracting Officer

Program Manager

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

CONTRACT DATA REQUIREMENTS LIST

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the tine for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

TBD

B. EXHIBIT

A

C. CATEGORY

TDP ____ TM _____ OTHER ADMN

D. SYSTEM/ITEM

ABAD ID/IQ

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A004

2. TITLE OF DATA ITEM

Report, Record of Meeting Minutes

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-ADMN-81505/T

5. CONTRACT REFERENCE

ID/IQ & TO 001 PWS Sections 2.5.3., 3.11.1.

6. REQUIRING OFFICE

USAFE-AFAFRICA

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

B

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

b. COPIES

8. APP CODE

A

11. AS OF DATE

BLK 16

13. DATE OF SUBSEQUENT

Final

16. REMARKS

BLK 4 - DID provides guidance. Contractor format acceptable.

Presentation material, as applicable, shall be an appendix to the minutes.

BLK 5 – The Contractor shall prepare appropriately subtitled meeting name/subject.

BLK 9 – Distribution Statement B: Distribution authorized to U.S. Government Agencies only due to proprietary and performance information contained in the document. Other requests for this document shall be referred to the USAFE-AFAFRICA Contracting Officer.

BLK 12 - Submittal of minutes shall occur five (5) calendar days after the first meeting. Acceptance/rejection of minutes by Contracting Officer Representative will occur within fifteen (15) calendar days after receipt. Non-acceptance requires correction/resubmission within ten (10) calendar days following receipt of Government comments.

BLK 13 – The Contractor shall submit meeting minutes five (5) calendar days after each subsequent meeting. Acceptance/rejection of minutes by Contracting Officer Representative shall occur within fifteen (15) calendar days after receipt. Non-acceptance requires correction/resubmission within ten (10) calendar days following receipt of Government comments. Employee incident reports shall be submitted in writing, within five (5) business days after an employee incident of misconduct occurs.

BLK 14 – The Contractor shall electronically distribute to addressees. The Contractor shall inform the Contracting Officer (verbally) within twenty four (24) hours of occurence of employee incident of misconduct.

Contracting Officer Representative

Contracting Officer

Program Manager

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

CONTRACT DATA REQUIREMENTS LIST

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the tine for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY

TDP ____ TM _____ OTHER MISC

D. SYSTEM/ITEM

ABAD ID/IQ

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A005

2. TITLE OF DATA ITEM

Technical Report – Study/Services

3. SUBTITLE

Project Report/Plan

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80508B/T

5. CONTRACT REFERENCE

ID/IQ & TO 001 PWS Section 3.4.2.

6. REQUIRING OFFICE

USAFE-AFAFRICA

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

B

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

b. COPIES

8. APP CODE

A

11. AS OF DATE

BLK 16

13. DATE OF SUBSEQUENT

Final

16. REMARKS

BLK 4 - DID provides guidance. Contractor format acceptable.

BLK 9 – Distribution Statement B: Distribution authorized to U.S. Government Agencies only due to proprietary and performance information contained in the document. Other requests for this document shall be referred to the USAFE-AFAFRICA Contracting Officer.

BLK 12 – Submittal of project report/plan shall occur seven (7) calendar days upon conclusion of project. Acceptance/rejection of report/plan by Contracting Officer Representative will occur within fourteen (14) calendar days after receipt. Non-acceptance requires correction/resubmission within ten (10) calendar days following receipt of Government comments.

BLK 13 – Subsequent submissions are as required. Acceptance/rejection of report/plan by Contracting Officer Representative will occur within fourteen (14) calendar days after receipt. Non-acceptance requires correction/resubmission within ten (10) calendar days following receipt of Government comments.

BLK 14 – The Contractor shall electronically distribute to addressees.

Contracting Officer Representative

Contracting Officer

Program Manager

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

CONTRACT DATA REQUIREMENTS LIST

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the tine for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY

TDP ____ TM _____ OTHER MISC

D. SYSTEM/ITEM

ABAD ID/IQ

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A006

2. TITLE OF DATA ITEM

Technical Report – Study/Services

3. SUBTITLE

Frequency Clearance Memo/Request

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80508B/T

5. CONTRACT REFERENCE

ID/IQ & TO 001 PWS Section 3.1.3.

6. REQUIRING OFFICE

USAFE-AFAFRICA

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

B

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

b. COPIES

8. APP CODE

A

11. AS OF DATE

BLK 16

13. DATE OF SUBSEQUENT

Final

16. REMARKS

BLK 4 - DID provides guidance. Contractor format acceptable.

BLK 9 – Distribution Statement B: Distribution authorized to U.S. Government Agencies only due to proprietary and performance information contained in the document. Other requests for this document shall be referred to the USAFE-AFAFRICA Contracting Officer.

BLK 12 – Submittal of clearance memo/request shall occur one hundred and fifty (150) calendar days after contract award. Acceptance/rejection of clearance memo/request by Contracting Officer will occur within fourteen (14) calendar days after receipt. Non-acceptance requires correction/resubmission within seven (7) calendar days following receipt of Government comments.

BLK 13 – Subsequent submissions are required as updates occur. Acceptance/rejection of report/plan by Contracting Officer Representative shall occur within fourteen (14) calendar days after receipt. Non-acceptance requires correction/resubmission within seven (7) calendar days following receipt of Government comments.

BLK 14 – The Contractor shall electronically distribute to addressees.

Contracting Officer Representative

Contracting Officer

Program Manager

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

CONTRACT DATA REQUIREMENTS LIST

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the tine for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY

TDP ____ TM _____ OTHER MISC

D. SYSTEM/ITEM

ABAD ID/IQ

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A007

2. TITLE OF DATA ITEM

Technical Report – Study/Services

3. SUBTITLE|

Obsolescence Management Plan

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80508B/T

5. CONTRACT REFERENCE

ID/IQ & TO 001 PWS Section 3.1.6.

6. REQUIRING OFFICE

USAFE-AFAFRICA

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

B

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

b. COPIES

8. APP CODE

A

11. AS OF DATE

BLK 16

13. DATE OF SUBSEQUENT

Final

16. REMARKS

BLK 4 - DID provides guidance. Contractor format acceptable.

BLK 9 – Distribution Statement B: Distribution authorized to U.S. Government Agencies only due to proprietary and performance information contained in the document. Other requests for this document shall be referred to the USAFE-AFAFRICA Contracting Officer.

BLK 12 – Submittal shall occur one hundred and fifty (150) calendar days after contract award. Acceptance/rejection of report/plan by Contracting Officer Representative shall occur within fourteen (14) calendar days after receipt. Non-acceptance requires correction/resubmission within seven (7) calendar days following receipt of Government comments.

BLK 13 – Subsequent submissions are required as updates occur. Acceptance/rejection of report/plan by Contracting Officer Representative will occur within fourteen (14) calendar days after receipt. Non-acceptance requires correction/resubmission within seven (7) calendar days following receipt of Government comments.

BLK 14 – The Contractor shall electronically distribute to addressees.

Contracting Officer Representative

Contracting Officer

Program Manager

15. TOTAL

I. APPROVED BY

J. DATE

CONTRACT DATA REQUIREMENTS LIST

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the tine for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY

TDP ____ TM _____ OTHER MISC

D. SYSTEM/ITEM

ABAD ID/IQ

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A008

2. TITLE OF DATA ITEM

Technical Report – Study/Services

3. SUBTITLE

Quality Control Plan (QCP)

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80508B/T

5. CONTRACT REFERENCE

ID/IQ & TO 001 PWS Section 4.6.

6. REQUIRING OFFICE

USAFE-AFAFRICA

7. DD 250 REQ

N/A

9. DIST STATEMENT

REQUIRED

B

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

b. COPIES

8. APP CODE

A

11. AS OF DATE

BLK 16

13. DATE OF SUBSEQUENT

Final

16. REMARKS

BLK 4 - DID provides guidance. Tailored as followed:

The QCP shall demonstrate the Contractor’s documented processes and procedures to monitor and control:

- Objectives in the Services Summary

· Subcontractor relationships

· Contractor and subcontractor invoicing

· Non-conformances

· Contractor employee qualification and certification

BLK 9 – Distribution Statement B: Distribution authorized to U.S. Government Agencies only due to proprietary and performance information contained in the document. Other requests for this document shall be referred to the USAFE-AFAFRICA Contracting Officer.

BLK 12 – Submittal shall occur sixty (60) calendar days after the Post-Award Conference. The Government shall review the document and provide comments within fourteen (14) calendar days. Non-acceptance requires correction/resubmission within seven (7) calendar days following receipt of Government comments.

BLK 13 – Subsequent submissions are required upon any changes made.

The Government shall review the document and provide comments within fourteen (14) calendar days. Non-acceptance requires correction/resubmission within seven (7) calendar days following receipt of Government comments.

BLK 14 – The Contractor shall electronically distribute to addressees.

Contracting Officer Representative

Contracting Officer

Program Manager

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

CONTRACT DATA REQUIREMENTS LIST

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the tine for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY

TDP ____ TM _____ OTHER MGMT

D. SYSTEM/ITEM

ABAD ID/IQ

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A009

2. TITLE OF DATA ITEM

Status of GFE Report

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80269/T

5. CONTRACT REFERENCE

ID/IQ & TO 001 PWS Section 4.4.2.

6. REQUIRING OFFICE

USAFE-AFAFRICA

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

B

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

b. COPIES

8. APP CODE

A

11. AS OF DATE

BLK 16

13. DATE OF SUBSEQUENT

Final

16. REMARKS

BLK 4 - DID provides guidance. Contractor format acceptable.

BLK 9 - Distribution Statement B: Distribution authorized to U.S. Government Agencies only due to proprietary and performance information contained in the document. Other requests for this document shall be referred to the USAFE-AFAFRICA Contracting Officer.

BLK 12 – Submittal shall occur one hundred and fifty (150) calendar days after contract award. The Government shall review the document and provide comments within fourteen (14) calendar days. Non-acceptance requires correction/resubmission within seven (7) calendar days following receipt of Government comments.

BLK 13 – Subsequent submissions are required upon any changes made.

The Government shall review the document and provide comments within fourteen (14) calendar days. Non-acceptance requires correction/resubmission within seven (7) calendar days following receipt of Government comments.

BLK 14 – The Contractor shall electronically distribute to addressees.

Contracting Officer Representative

Contracting Officer

Program Manager

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the tine for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

B. EXHIBIT

A

C. CATEGORY

TDP ____ TM _____ OTHER MISC

D. SYSTEM/ITEM

ABAD ID/IQ

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A010

2. TITLE OF DATA ITEM

Trip Report

3. SUBTITLE

Trip Report

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-81943

5. CONTRACT REFERENCE

ID/IQ & TO 001 PWS Section 2.7.3.

6. REQUIRING OFFICE

USAFE-AFAFRICA

7. DD 250 REQ

N/A

9. DIST STATEMENT

REQUIRED

B

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

BLK 16

13. DATE OF SUBSEQUENT

Final

16. REMARKS

BLK 4 - DID provides guidance. Contractor format acceptable.

BLK 9 - Distribution Statement B: Distribution authorized to U.S. Government Agencies only due to proprietary and performance information contained in the document. Other requests for this document shall be referred to the USAFE-AFAFRICA Contracting Officer.

BLK 12 – First submission shall occur within five (5) business days after return from first instance of travel by the Contractor.

BLK 13 – Subsequent submissions shall occur within five (5) business days after return from instance of travel by the Contractor.

BLK 14 – The Contractor shall electronically distribute to addressees.

Contracting Officer Representative

Contracting Officer

Program Manager

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the tine for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

TBD

B. EXHIBIT

A

C. CATEGORY

TDP ____ TM _____ OTHER ENVR

D. SYSTEM/ITEM

Air Base Air Defense (ABAD)

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A011

2. TITLE OF DATA ITEM

Environmental Safety and Health Plan

3. SUBTITLE

Voluntary Protection Program (VPP)

4. AUTHORITY (Data Acquisition Document No.)

DI-ENVR-81375

5. CONTRACT REFERENCE

ID/IQ & TO 001 PWS Section 4.1.2.1.

6. REQUIRING OFFICE

USAFE-AFAFRICA

7. DD 250 REQ

N/A

9. DIST STATEMENT

REQUIRED

B

10. FREQUENCY

ANNLY

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

b. COPIES

8. APP CODE

A, BLK 16

11. AS OF DATE

BLK 16

13. DATE OF SUBSEQUENT

Final

16. REMARKS

BLK 4 - DID provides guidance. Contractor format acceptable.

BLK 8 – Approval Code A: The Government shall have ten (10) business days to approve or reject CDRL submittal. Failure of the Government to reject a CDRL within ten (10) business days of submission constitutes Government approval.

BLK 9 - Distribution Statement B: Distribution authorized to U.S. Government Agencies only due to proprietary and performance information contained in the document. Other requests for this document shall be referred to the USAFE-AFAFRICA Contracting Officer.

BLK 11, 12, 13 – First submission shall consist of Safety and Health Plan and corresponding site safety checklist no later than one hundred and fifty (150) calendar days after contract award. Subsequent submissions shall be required annually, no later than the 15th of January, to update and incorporate the required OSHA Form 300A.

BLK 14 – The Contractor shall electronically distribute to addressees. Submittal shall be searchable, editable, and reproducible.

OSHA information/instructions located at the following:

http://www.osha.gov/recordkeeping/RKforms.html

Contracting Officer Representative

Contracting Officer

Program Manager

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the tine for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

TBD

B. EXHIBIT

A

C. CATEGORY

TDP ____ TM _____ OTHER MGMT

D. SYSTEM/ITEM

ABAD ID/IQ

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

1. DATA ITEM NO.

A012

2. TITLE OF DATA ITEM

Integrated Program Management Report (IPMR)

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

5. CONTRACT REFERENCE

ID/IQ & TO 001 PWS Section 3.2.4.

6. REQUIRING OFFICE

USAFE-AFAFRICA

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

B

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

BLK 16

13. DATE OF SUBSEQUENT

Final

16. REMARKS

BLK 4 - DID provides guidance. Contractor format acceptable.

BLK 9 - Distribution Statement B: Distribution authorized to U.S. Government Agencies only due to proprietary and performance information contained in the document. Other requests for this document shall be referred to the USAFE-AFAFRICA Contracting Officer.

BLK 12 – Submittal shall occur sixty (60) calendar days after contract award. The Government shall review the document and provide comments within fourteen (14) calendar days. Non-acceptance requires correction/resubmission within seven (7) calendar days following receipt of Government comments.

BLK 13 – Subsequent submissions are required upon any changes made. The Government shall review the document and provide comments within fourteen (14) calendar days. Non-acceptance requires correction/resubmission within seven (7) calendar days following receipt of Government comments.

BLK 14 – The Contractor shall electronically distribute to addressees.

Contracting Officer Representative

Contracting Officer

Program Manager

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the tine for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

TBD

B. EXHIBIT

A

C. CATEGORY

TDP ____ TM _____ OTHER MISC

D. SYSTEM/ITEM

ABAD ID/IQ

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

1. DATA ITEM NO.

A013

2. TITLE OF DATA ITEM

Technical Report – Study/Service

3. SUBTITLE

Software Assurance Report

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80508B/T

5. CONTRACT REFERENCE

ID/IQ & TO 001 PWS Section 3.2.1.1.

6. REQUIRING OFFICE

USAFE-AFAFRICA

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

B

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

BLK 16

13. DATE OF SUBSEQUENT

Final

16. REMARKS

BLK 4 - DID provides guidance. Contractor format acceptable.

BLK 9 - Distribution Statement B: Distribution authorized to U.S. Government Agencies only due to proprietary and performance information contained in the document. Other requests for this document shall be referred to the USAFE-AFAFRICA Contracting Officer.

BLK 12 – Submittal shall occur sixty (60) calendar days after contract award. The Government shall review the document and provide comments within fourteen (14) calendar days. Non-acceptance requires correction/resubmission within seven (7) calendar days following receipt of Government comments.

BLK 13 – Subsequent submissions are required upon any changes made.

The Government shall review the document and provide comments within fourteen (14) calendar days. Non-acceptance requires correction/resubmission within seven (7) calendar days following receipt of Government comments.

BLK 14 – The Contractor shall electronically distribute to addressees.

Contracting Officer Representative

Contracting Officer

Program Manager

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the tine for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

TBD

B. EXHIBIT

A

C. CATEGORY

TDP ____ TM _____ OTHER MISC

D. SYSTEM/ITEM

ABAD ID/IQ

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

1. DATA ITEM NO.

A014

2. TITLE OF DATA ITEM

Technical Report – Study/Service

3. SUBTITLE

Transition Plan

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80508B/T

5. CONTRACT REFERENCE

ID/IQ & TO 001 PWS Section 4.2.1.

6. REQUIRING OFFICE

USAFE-AFAFRICA

7. DD 250 REQ

N/A

9. DIST STATEMENT

REQUIRED

B

10. FREQUENCY

ASREQ

12. DATE OF FIRST SUBMISSION

14. DISTRIBUTION

b. COPIES

8. APP CODE

A

11. AS OF DATE

BLK 16

13. DATE OF SUBSEQUENT

Final

16. REMARKS

BLK 4 - DID provides guidance. Contractor format acceptable. The Transition Plan shall address the following tasks:

- Hiring, badging, and training personnel

- Gaining employee approval through DOCPER

- Gaining access to and becoming familiar with work sites

- Communication with the Government throughout transition period

BLK 9 - Distribution Statement B: Distribution authorized to U.S. Government Agencies only due to proprietary and performance information contained in the document. Other requests for this document shall be referred to the USAFE-AFAFRICA Contracting Officer.

BLK 12 – Submittal shall occur one hundred and fifty (150) calendar days after contract award. The Government shall review the document and provide comments within fourteen (14) calendar days. Non-acceptance requires correction/resubmission within seven (7) calendar days following receipt of Government comments.

BLK 13 – Subsequent submissions are required upon any changes made. The Government shall review the document and provide comments within fourteen (14) calendar days. Non-acceptance requires correction/resubmission within seven (7) calendar days following receipt of Government comments.

Contracting Officer Representative

Contracting Officer

Program Manager

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

OMB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the tine for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO.

TBD

B. EXHIBIT

A

C. CATEGORY

TDP ____ TM _____ OTHER MGMT

D. SYSTEM/ITEM

ABAD ID/IQ

E. CONTRACT/PR NO.

TBD

F. CONTRACTOR

TBD

1. DATA ITEM NO.

A015

2. TITLE OF DATA ITEM

Operations Security (OPSEC) Plan

3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80934C

5. CONTRACT REFERENCE

ID/IQ & TO 001 PWS Section 4.7

6. REQUIRING OFFICE

USAFE-AFAFRICA

7. DD 250 REQ

N/A

9. DIST STATEMENT

REQUIRED

F

10. FREQUENCY

OTIME

12. DATE OF FIRST SUBMISSION

N/A

14. DISTRIBUTION

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

BLK 16

13. DATE OF SUBSEQUENT

N/A

Final

16. REMARKS

BLK 4 – OPSEC Plan shall include content in accordance with DI-MGMT-80934C authority attached.

BLK 9 - Distribution Statement F: Further dissemination only as directed by USAFE-AFAFRICA Contracting Officer.

BLK 12 – Submittal shall occur one hundred and fifty (150) calendar days after contract award. The Government shall review the document and provide comments within fourteen (14) calendar days. Non-acceptance requires correction/resubmission within seven (7) calendar days following receipt of Government comments.

Contracting Officer Representative

Contracting Officer

Program Manager

15. TOTAL

G. PREPARED BY

H. DATE

I. APPROVED BY

J. DATE

image1.jpg